Rate of Incidental Lung Nodule Follow-Up: A Cohort Study Evaluating Adherence to Guideline Recommendations

American journal of medicine open Pub Date : 2025-02-03 DOI:10.1016/j.ajmo.2025.100091

Zein Kattih , Jonathan A Moore , Brandon Wilson , Sravani Gajjala , Jacob Schwartz , Josef Kushner , Sean Zajac , Akhilesh Mahajan , Tungming Leung , Priyanka Makkar

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引用次数: 0

Abstract

Background

Solitary pulmonary nodules (SPNs) are commonly identified on imaging studies, and guidelines exist for follow-up. Adherence to guideline recommendations varies.

Methods

We conducted a retrospective review at a single center in a metropolitan hospital to identify characteristics of patients with lung nodules and determine the rate of follow-up of these patients. A total of 1266 patient records were reviewed, and 341 patients with solitary pulmonary nodules were identified.

Results

The presence of emphysema was associated with an increased rate of follow-up with an odds ratio of 1.9. Of the patients with SPNs, 52% do not receive appropriate follow-up. Of the nodules identified, 40% were noted to be enlarged compared to prior imaging.

Conclusions

Identification of SPNs requires a standard approach to ensure follow-up for early detection of potential malignancy. Appropriate follow-up allows improvement of the rate of early cancer detection.

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偶发肺结节随访率：一项评估指南建议依从性的队列研究

背景：孤立性肺结节（spn）通常在影像学检查中被识别出来，并且存在随访指南。对指南建议的遵守情况各不相同。方法回顾性分析某大城市医院单中心肺结节患者的特点，确定随访率。共回顾了1266例患者的记录，并确定了341例孤立性肺结节。结果肺气肿的存在与随访率增加相关，比值比为1.9。在spn患者中，52%没有得到适当的随访。在确诊的结节中，40%的结节与先前的影像学相比增大。结论SPNs的诊断需要一个标准的方法来确保早期发现潜在的恶性肿瘤的随访。适当的随访可以提高早期癌症的检出率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of medicine open Medicine and Dentistry (General)

自引率

0.00%

发文量

审稿时长

47 days